Individual
BERNARD JOSEPH GROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 QUADRANGLE BLVD, ORLANDO, FL 32817-1492
(407) 266-3627
(407) 882-4799
Mailing address
3400 QUADRANGLE BLVD, ORLANDO, FL 32817-1492
(407) 266-3627
(407) 882-4799
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0073065
FL
207U00000X
Nuclear Medicine Physician
ME0073065
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251964000
—
FL
Enumeration date
02/27/2006
Last updated
01/07/2020
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